Endocrinology Clinic:

-Goals and objectives - Learn skills related to history, examination, assessment, and plan for ambulatory patients with endocrine problems referred to a subspecialty endocrine clinic.  Patients seen in this venue include a wide range of endocrine problems excluding Diabetes Mellitus which is seen elsewhere.  Some of the endocrine problems seen in this context are:         

-Thyroid disorders including:
   1) Hyperthyroidism and hypothyroidism

   2) Nodular thyroid diseases

   3) Thyroid cancer

   4) Goiter

   5) All varieties of thyroiditis, including silent, autoimmune and chronic thyroiditis    

-Disorders of calcium and skeletal metabolism including:

   1) Hyperparathyroidism and other causes of hypercalcemia

   2) Hypoparathyroidism and other causes of hypocalcemia

   3) Metabolic bone diseases

   4) Evaluation and treatment of kidney stones

-Disorders of blood pressure

-Endocrine aspects of aging, including menopause

-Nutritional disorders and obesity

-Male and female reproductive endocrinology

-Routine management of patient with treated pituitary disease

-Teaching Methodology - Patient based mentored assessment of historical findings, examination, and therapeutic plan.  Each patient is seen by a faculty attending.  Pragmatic and theoretical issues are discussed as practical, ethical, socio-economic issues are discussed in this format.

-Method of Evaluation - All subspecialty residents are evaluated at least biannually.  In addition endocrinology and internal medicine residents evaluate full time and volunteer faculty and the clinic as an educational experience biannually.